Inspection on 11/01/06 for Rosecroft Care Ltd

This inspection was carried out on 11th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rosecroft Care Ltd 13/02/07

Rosecroft Care Ltd 09/08/05

Rosecroft Care Ltd 25/02/05

Rosecroft Care Ltd 11/01/05

Rosecroft Care Ltd 25/02/04

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Insight - Eastchurch

Southfields

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33 St John`s Church Road

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Rosecroft Care Ltd 71 Meehan Road Greatstone New Romney Kent TN28 8NZ Lead Inspector Geoff Senior Announced Inspection 11th January 2006 09:30 Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Rosecroft Care Ltd Address 71 Meehan Road Greatstone New Romney Kent TN28 8NZ 01797 361601 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Rosecroft Care Limited Mrs Lisa Jane Ulph Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16/11/2005 Brief Description of the Service: Rosecroftis registered as a Care Home for up to 5 adults with a learning disability. Rosecroft Ltd is the Registered Provider and Ms. L. Ulph is the registered manager. Rosecroft is a detached chalet bungalow situated in a residential area of Greatstone, a short walk away from the local amenities and the beach. There is service user accommodation on 2 floors and comprises 2 ground floor and 3 first floor single rooms There is a ground floor bathroom with ‘walk in’ shower and WC and a first floor Bath and WC. The staff work a rota that includes staff on the premises at night `on-call. There are no staff specifically employed to undertake meal preparation and cleaning. The Officer was informed that care staff and some of the residents carry out these duties. Administration and maintenance are undertaken by Mr & Mrs Ulph and the Deputy Manager.According to its Aims and Objectives, Rosecroft provides care for adults with a learning disability and challenging difficulties in a secure environment, which respects individuality and promotes the development of service users’ potential socially acceptable behaviour and self esteem. Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was announced and was undertaken on 11/1/06 between 10:00 and 13:00. During that time the Inspector was able to meet and talk with Mr. And Mrs. Ulph, the Deputy Manager and observed staff on duty interacting with service users. A tour of the premises was undertaken and a range of records viewed. Policies, procedures and record keeping systems are generally common to the operating company, which are maintained to a good standard. The ethos of the home is established but the practice and routines are subject to continual review. The home provides a welcoming, comfortable and varied environment for the service users. Communal areas and bedrooms appeared well maintained, adequately furnished and. reflected service user choice and involvement. The Company responds positively to the demands of the NMS and endeavours to continually develop and augment the existing good standards of administration and care practice. What the service does well: What has improved since the last inspection? The management and staff team continue to examine the support and care that is provided looking to innovate and further develop the service. The structure of the management has changed with the introduction of deputies at both homes. The level and nature of activities available to service users continues to expand. Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1-5 The statement of purpose and service user guide are of a high standard. They provide service users and their representatives with information needed to make a decision about moving into the home. There is a system for pre admission and ongoing assessment of prospective service users to ensure mutual benefit and compatibility of the placement. EVIDENCE: There have been no recent admissions. The Provider wishes to settle the existing service users and staff following a period of change within the home and organisation. A Statement of Purpose and Service User Guide address the requirements of the standard. There is a good level of detail and comprehensive information in a format suitable for the intended reader. Both documents are reviewed and updated on a regular basis. The home has a detailed referral assessment package. This is generally initiated prior to admission and completed during the three month probationary period, after which, a decision on the permanency of the placement is made.. The service user and their family/representative are encouraged to participate in the assessment process. All staff have experience in working with adults with a learning disability and more specific communication needs. Service Users are offered a written statement detailing the terms and conditions under which the accommodation and care is provided. Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6-10 There is a clear and consistent care planning process. Staff have a good understanding regarding residents’ rights to make decisions and to be consulted on matters affecting them. Risk assessments are undertaken and relate to care plans to enable service users to participate in chosen activities with staff support. EVIDENCE: Care plans contain current and detailed information relating to the support needs of the individuals. A key worker system is in operation. Key workers and management review the plans at least every six months. Choice is offered as a matter of course in all issues relating to support and care of the service users. Routine but not ritual is an aim within a flexible , structured regime. All records are stored in a lockable office. There was no public display of personal or confidential information. Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Assessed 16/11/05 EVIDENCE: Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Healthcare needs are monitored and addressed. Medication systems are adequate. EVIDENCE: The health care needs of the service users are monitored and addressed. Health issues are identified, documented and acted upon with advice from specialists. Additional equipment and facilities are assessed and provided where service users have changing levels of need. Medication storage and administration appeared to be satisfactory and up to date. The home has policies and procedures in place and staff administering medication are offered training and are competency assessed. Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. The management have an awareness of issues relating to concerns and protection and have produced a written and Makaton format complaints procedure. EVIDENCE: There is a written and Makaton format complaints procedure available to service users and families contained within both the Statement of Purpose and the policies and procedures file. It explains how concerns may be raised re the standard of services and facilities provided and the homes response to any concern raised. Staff have an awareness of issues of abuse of vulnerable adults obtained on NVQ training and have been given the opportunity to undertake specific Adult Protection training. Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24-30 The Home presents a well maintained, comfortable, welcoming and varied environment in which to live and work. EVIDENCE: The Home presents a comfortable, welcoming and varied environment in which to live and work. Private areas are decorated according to service users choice and preference. There are policies and procedures in place for the control of infection to underpin the induction and additional training.. The maintenance checks on equipment are current and generally satisfactory. Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Assessed 16/11/05 EVIDENCE: Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Assessed 16/11/05 EVIDENCE: Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Rosecroft Care Ltd Score X 3 3 x Standard No 37 38 39 40 41 42 43 Score X X X X X X x DS0000023525.V265124.R01.S.doc Version 5.0 Page 17 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Rosecroft Care Ltd DS0000023525.V265124.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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